1. Betty Sawyer, M Ed RD LD Registered Clinical Dietitian
Clinical Nutrition
Betty Sawyer, M Ed RD LD
Registered Clinical Dietitian

2. PURPOSE
To increase knowledge about the importance of good nutrition and how it affects health and longevity.
To understand how disease affects nutrition requirements.
To recognize members of the healthcare team.

3. How do you become a registered dietitian? What do they do?
Clincial Community
Sports Food service
Wellness Food science

4. Altered nutrition needs
Wounds Impaired swallow
Diabetes Underweight
Heart Disease
Obesity
Renal dysfunction
Liver dysfunction

5. Altered lab data Altered intake Altered height/weight
Nutrition assessment
Altered lab data
Altered intake
Altered height/weight

6. HYDRATION/DEHYDRATION
SODIUM Na
BLOOD UREA NITROGEN
BUN
CREATININE CR

7. HEPATIC FUNCION AST – aspartate aminotransferase
LDH – lactate dehydrogenase
ALT – glutamic pyruvic transaminase
ALK PHOS-alkaline phosphotase
BILIRUBIN – bili
Ammonia – NH3

8. LIPIDS TRIGLYCERIDES CHOLESTEROL HIGH DENSITY LIPIDS
HDL’S
LOW DENSITY LIPIDS
LDL’S

9. HYPERGLYCEMIA
SERUM GLUCOSE
BLOOD SUGAR
HEMAGLOBIN A1C

10. RENAL FUNCTION BLOOD UREA NITROGEN CREATININE MICROALBUMINEMIA
PHOSPHORUS
POTASSIUM
CGFR

11. INFECTION
WHITE BLOOD COUNT
WBC

12. ANEMIA
HEMAGLOBIN
HGB
HEMATOCRIT
HCT

13. NUTRITION RENAL FUNCTION LIVER FUNCTION PREALBUMIN/ALBUMIN
TOTAL PROTEIN

14. CONGESTIVE HEART FAILURE
B TYPE NATRIURETIC PROTEIN
BNP

15. ELECTROLYTES POTASSIUM (K) PHOSPHORUS (PO4) MAGNESIUM (Mg)
CALCIUM (Ca)

16. BOWEL FUNCTION
CLOSTRIDIUM DIFFICILE TOXIN (C. DIFF+)

17. HEART MUSCLE
TROPONINS

18. Enteral nutrition Parenteral nutrition
Tube feedings
IV nutrition

19. Wounds Adequate protein/calories Multivitamin Vit C – 500 mg daily
Zinc – 50 mg daily (4-6 weeks)

20. Increased frequency Reduced carbohydrate Regular meals and times
Diabetes
Increased frequency
Reduced carbohydrate
Regular meals and times

21. Hospital Nutrition Serivces
Nutrition evaluation
Nutrition education
Room service

22. Ideal body weight calculation
Women: 5” 100# then 5# for every additional inch
Men: 5’ – 106# then 6# for every additional inch

23. QUESTIONS?